| NPI | 1164074142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA TOUSSAINT Co Owner/Family Nurse Practitioner 877-560-3792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |